Individual
JOSHUA LEWIS GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3550
(773) 868-8904
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3550
(773) 868-8904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036103702
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036103702
IL
2084N0600X
Clinical Neurophysiology Physician
036103702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103702
—
IL
Enumeration date
05/24/2006
Last updated
12/18/2024
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